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e <br /> e <br /> e ACo d CERTIFICATE OF LIABILITY INSURANCE <br /> " <br /> `/ 12/30/2011 <br /> e <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> ® CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. _ <br /> eIMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the <br /> ecertificate holder in lieu of such endorsement(s). <br /> PRODUCER Cd.'RACT Jude Sutton <br /> NAME' <br /> eLassiter-Ware Insurance of Tampa Bay In° r M,. 1800)845-8437 II4�C Net(111111-0600 <br /> 4401 West Kennedy Blvd E sjjudesPlassiter-Mare.coa <br /> eSuite 200 rusrovEams00037454 <br /> Tampa FL 33609 INSURERISIAFFORDMO COVERAGE NAC• <br /> eINSURED INSURER A:Audson Specialty Ins. Co. 37079 <br /> Chen and Associates Consulting Engineers, Inc. Ra:Sentinel Insurance Company LTD 11000 <br /> eDBA: Chen Moore and Associates wsuRERc:Bridgefield Employers Ins Co 10701 <br /> 500 West Cypress Creek Road POORER D: <br /> e Suite 410 <br /> INSURER E: <br /> Fort Lauderdale FL 33309 INSURER <br /> e COVERAGES CERTIFICATE NUMBER:12-13 All Lines REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> e INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br /> e it:SRttVEOF INSURANCE NA +r.R POLICY EFF POLICY ESP <br /> LTR TYPE 'MV POLICY NUMBER IMWODIYYYYI IMM.00RYTFI WAITS <br /> GEAEML LIABILITY EACH OCCURRENCE 5 1,000,000 <br /> ® X COMMERCLAL GENERAL LU.eLTY MEIOSES°,Ea ece eeel 3 50,000 <br /> A ICWMSMAOE El OCCUR E5B1944131203 1/1/2012 1/1/2013 MEDExp IMrwv IMva a 5,000 <br /> ID ,—' PERSIXJALEADV INJURY 3 1,000,000 <br /> ® ^- GENERAL AGGREGATE 3 2,000,000 <br /> ( ML AGGREGATEEGG LIMIT APPLIES PER. PRODUCTS-COMPIOP 3 2,000,000 <br /> HT1PGUCY1 ATII, n LDC 3 <br /> 0 <br /> % <br /> AUTOMOBILE LIABILITY COMENEO SINGLE UNIT 3 1.000,000 <br /> IES amcecal <br /> e X ANY AUTO BOOS.Y OUJRY(Pee MrW.) S <br /> B Au OM:-O AUTOS 21T1EOU(2625 1/1/2012 1/1/2013 <br /> BODILY INJURY IPM NSeeI S <br /> e SCHEDULED AUTOS <br /> PROPERTY DAMAGE S <br /> MIRED AUTOS <br /> (Pm cmann <br /> e NOYOW:ED AUTOS 3 <br /> 3 <br /> 0 <br /> X UMBRELLA LYO HDcc,R EACH OCCURRENCE I 5.QDD.ODO- <br /> EXCESS LOS cw.usuADE AGGREGATE s 5,000,000 <br /> ® DEDUCTIBLE <br /> A ^RETENTION s 0 ESB1944201203 1/1/2012 1/1/2013 I <br /> e C WORKERS COMPENSATION XI MCSTNT�I I°=R <br /> AND EMPLOYERS'LIABILITY YIN <br /> ANY W�t�WAMnNF>JEXECUTNE ii N I A EL.EACH ACCIDENT I 1,000,000 <br /> e CFFCEW VEMBER EXCLUDED, ' 1 <br /> IMw1MP'isNm 083043090 1/1/2012 1/1/2013 EL DISEASE-EA EMPLOYEE 1,000,000 <br /> grsCAIPTCN aeamea:Ox., <br /> C OPERATIONS INiw EL DISEASE-POLICY LOOT s 1,000,000 <br /> e A PROFESSIDUL LIAR LIMITS 0531944131203 1/1/2012 1/1/2013 EACHCwM $1,000,000 <br /> DCL WITH GENERAL LIAR MAIMS MADE Eoml AGGREGATE $2,000,000 <br /> eDESCRIPTION OF OPERATIONS)LOCATIONS I VEHICLES IAMacn ACORD 101,ASOQmM Recuts Schedule.lI men space,puWl <br /> 0 <br /> e CERTIFICATE HOLDER CANCELLATION <br /> e SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> e For Information/Bidding Purposes Only <br /> c/o Chen Moore and Associates <br /> 500 W. Cypress Creek Rd. AUTHORIZED REPRESENTATIVE <br /> 5 Suite 410 <br /> Fort Lauderdale, FL 33309 -- /sic e <br /> eP Schaal tz/JWES <br /> ACORD 25(2009109) 01988.2009 ACORD CORPORATION. All rights reserved. <br /> e INS025 paoahl The ACORD name and logo are registered marks of ACORD <br /> e <br /> e <br /> e <br /> e <br /> e <br /> eCHENNIMO (IRE RFONo.12-04-02 Continuing Professional Architectural&Engineering Services Firms Only(CCNA) <br /> • Category:CivilEngineering 1-5 <br /> LAuoaAlEs <br />